Individual
DANIELLE PHILP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 CHAMPLAIN ST, PORT JEFFERSON STATION, NY 11776-4449
(631) 356-4086
Mailing address
72 CHAMPLAIN ST, PORT JEFFERSON STATION, NY 11776-4449
(631) 356-4086
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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